| NPI | 1558013631 |
|---|---|
| Other Name | QUINCY MEDICAL GROUP KEOKUK AFFILIATE |
| Entity Type | Organization |
| Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |